Case Report
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Mandibular Molar Bir Dişin Meziobukkal Kanalından İki Kanal Aletinin Çıkarılması: Vaka Raporu

Year 2024, Volume: 4 Issue: 2, 59 - 62, 30.08.2024
https://doi.org/10.61139/ijdor.1464143

Abstract

Kanal tedavisinde başarıyı etkileyen önemli etkenlerden biri kök ucuna kadar pulpanın tamamının çıkarılıp kanal içinin dezenfekte edilmesidir. Bu durumu engelleyen durumlardan birisi de kanal içinde kırılan kanal aletlerinin varlığıdır. Kırık kanal aletini bazı durumlarda by-pass ederek bu problemi ortadan kaldırabiliriz. Ancak bu her zaman mümkün olmayabilir ve kırık aleti çıkarmamız gerekir. Bu vakada 30 yaşında kadın hastanın sol alt birinci molar dişinin meziobukkal kanalında kırılan 2 kanal aletinin mikroskop altında çıkarılması anlatılmaktadır.

References

  • 1. Umrah U, Sedani S, Nikhade P.P, Mishra A, Bansod A. The good old Masserann technique for the retrieval of a separated instrument: an endodontic challenge. Cureus.2023;15(9).
  • 2. Rathi C, Chandak M, Modi R, Gogiya R, Relan K, Chandak M. Management of separated endodontic instrument: 2 case reports. Medical Science. 2020;24:1663-8.
  • 3. Shenoy A, Mandava P, Bolla N, Vemuri S. A novel technique for removal of broken instrument from root canal in mandibular second molar.Indian Journal of Dental Research.2014;25(1):107-110.
  • 4. Cohen S, Hargreaves K. Pathway's of the Pulp, Elsevier, Kansas, MO, USA, 11th edition, 2016.
  • 5. Parashos P, Messer H.H. Rotary NiTi instrument fracture and its consequences. Journal of endodontics.2006;32(11):1031-43.
  • 6. McGuigan M.B, Louca C, Duncan H.F. Endodontic instrument fracture: causes and prevention. British dental journal.2013; 214(7):341-8.
  • 7. Cheung G. S.Instrument fracture: mechanisms, removal of fragments, and clinical outcomes. Endodontic Topics.2007;16(1):1-26.
  • 8. Plotino G, Pameijer C.H, Grande N.M, Somma F. Ultrasonics in endodontics: a review of the literature. Journal of Endodontics.2007;33(2):81-95.
  • 9. Shen Y, Peng B, Cheung G.S.P. Factors associated with the removal of fractured NiTi instruments from root canal systems. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology.2004;98(5):605-10.
  • 10. Madarati A.A, Watts D.C, Qualtrough A.J. Factors contributing to the separation of endodontic files. Br Dent J.2008; 204:241-5.
  • 11. Madarati A.A, Hunter M.J, Dummer P.M. Management of intracanal separated instruments. J Endod.2013;39:569-81.
  • 12. Kaddoura R.H, Madarati A.A. Management of an over-extruded fragment in a C-shaped root canal configuration: A case report and literature review. Journal of Taibah University Medical Sciences.2020;15(5):431.
  • 13. Spili P, Parashos P, Messer H.H. The impact of instrument fracture on the outcome of endodontic treatment. J Endod.2005;31:845-50.
  • 14. Rouhani A, Javid B, Habibi M, Jafarzadeh H. Intentional replantation: a procedure as a last resort. J Consider Dent Pract.2011;12:486-92.
  • 15. McGuigan M, Louca C, Duncan H. Clinical decision-making after endodontic instrument fracture. British Dental Journal.2013;214(8):395-400.
  • 16. Gluskin A.H, Ruddle C.J, Zinman E.J. Thermal injury through intraradicular heat transfer using ultrasonic devices: precautions and practical preventive strategies. J Am Dent Assoc. 2005;136(9):1286-93.
  • 17. Ward J.R, Parashos P, Messer H.H. Evaluation of an ultrasonic technique to remove fractured rotary nickel-titanium endodontic instruments from root canals: an experimental study. J Endod.2003;29:756-63.
  • 18. Terauchi Y, Ali W.T, Abielhassan M.M. Present status and future directions: removal of fractured instruments. International Journal of Endodontics.2022;55:685-709.
  • 19. Souter N.J, Messer H.H. Complications associated with fractured file removal using an ultrasonic technique. Journal of Endodontics. 2005;31(6):450-2.

Removal of Two Canal Instruments from the Mesiobuccal Canal of a Mandibular Molar Tooth: A Case Report

Year 2024, Volume: 4 Issue: 2, 59 - 62, 30.08.2024
https://doi.org/10.61139/ijdor.1464143

Abstract

One of the important factors that affect the success of root canal treatment is the complete removal of the pulp all the way to the root apex and disinfection of the canal. One factor that may impede this process is the existence of fractured canal instruments within the canal. In some cases, this problem can be eliminated by bypassing the broken instrument. However, this may not always be possible and the removal of the instrument is necessary. In this case report, we present the extraction of two fractured instruments inside the mesiobuccal canal of the lower left first molar of a 30-year-old female patient, performed under a microscope.

References

  • 1. Umrah U, Sedani S, Nikhade P.P, Mishra A, Bansod A. The good old Masserann technique for the retrieval of a separated instrument: an endodontic challenge. Cureus.2023;15(9).
  • 2. Rathi C, Chandak M, Modi R, Gogiya R, Relan K, Chandak M. Management of separated endodontic instrument: 2 case reports. Medical Science. 2020;24:1663-8.
  • 3. Shenoy A, Mandava P, Bolla N, Vemuri S. A novel technique for removal of broken instrument from root canal in mandibular second molar.Indian Journal of Dental Research.2014;25(1):107-110.
  • 4. Cohen S, Hargreaves K. Pathway's of the Pulp, Elsevier, Kansas, MO, USA, 11th edition, 2016.
  • 5. Parashos P, Messer H.H. Rotary NiTi instrument fracture and its consequences. Journal of endodontics.2006;32(11):1031-43.
  • 6. McGuigan M.B, Louca C, Duncan H.F. Endodontic instrument fracture: causes and prevention. British dental journal.2013; 214(7):341-8.
  • 7. Cheung G. S.Instrument fracture: mechanisms, removal of fragments, and clinical outcomes. Endodontic Topics.2007;16(1):1-26.
  • 8. Plotino G, Pameijer C.H, Grande N.M, Somma F. Ultrasonics in endodontics: a review of the literature. Journal of Endodontics.2007;33(2):81-95.
  • 9. Shen Y, Peng B, Cheung G.S.P. Factors associated with the removal of fractured NiTi instruments from root canal systems. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology.2004;98(5):605-10.
  • 10. Madarati A.A, Watts D.C, Qualtrough A.J. Factors contributing to the separation of endodontic files. Br Dent J.2008; 204:241-5.
  • 11. Madarati A.A, Hunter M.J, Dummer P.M. Management of intracanal separated instruments. J Endod.2013;39:569-81.
  • 12. Kaddoura R.H, Madarati A.A. Management of an over-extruded fragment in a C-shaped root canal configuration: A case report and literature review. Journal of Taibah University Medical Sciences.2020;15(5):431.
  • 13. Spili P, Parashos P, Messer H.H. The impact of instrument fracture on the outcome of endodontic treatment. J Endod.2005;31:845-50.
  • 14. Rouhani A, Javid B, Habibi M, Jafarzadeh H. Intentional replantation: a procedure as a last resort. J Consider Dent Pract.2011;12:486-92.
  • 15. McGuigan M, Louca C, Duncan H. Clinical decision-making after endodontic instrument fracture. British Dental Journal.2013;214(8):395-400.
  • 16. Gluskin A.H, Ruddle C.J, Zinman E.J. Thermal injury through intraradicular heat transfer using ultrasonic devices: precautions and practical preventive strategies. J Am Dent Assoc. 2005;136(9):1286-93.
  • 17. Ward J.R, Parashos P, Messer H.H. Evaluation of an ultrasonic technique to remove fractured rotary nickel-titanium endodontic instruments from root canals: an experimental study. J Endod.2003;29:756-63.
  • 18. Terauchi Y, Ali W.T, Abielhassan M.M. Present status and future directions: removal of fractured instruments. International Journal of Endodontics.2022;55:685-709.
  • 19. Souter N.J, Messer H.H. Complications associated with fractured file removal using an ultrasonic technique. Journal of Endodontics. 2005;31(6):450-2.
There are 19 citations in total.

Details

Primary Language English
Subjects Dental Materials and Equipment, Endodontics
Journal Section Case Reports
Authors

Tolga Han Edebal 0000-0002-3914-4701

Devrim Deniz Üner 0000-0002-5860-4224

Publication Date August 30, 2024
Submission Date April 3, 2024
Acceptance Date August 1, 2024
Published in Issue Year 2024 Volume: 4 Issue: 2

Cite

APA Edebal, T. H., & Üner, D. D. (2024). Removal of Two Canal Instruments from the Mesiobuccal Canal of a Mandibular Molar Tooth: A Case Report. HRU International Journal of Dentistry and Oral Research, 4(2), 59-62. https://doi.org/10.61139/ijdor.1464143
AMA Edebal TH, Üner DD. Removal of Two Canal Instruments from the Mesiobuccal Canal of a Mandibular Molar Tooth: A Case Report. HRU Int J Dent Oral Res. August 2024;4(2):59-62. doi:10.61139/ijdor.1464143
Chicago Edebal, Tolga Han, and Devrim Deniz Üner. “Removal of Two Canal Instruments from the Mesiobuccal Canal of a Mandibular Molar Tooth: A Case Report”. HRU International Journal of Dentistry and Oral Research 4, no. 2 (August 2024): 59-62. https://doi.org/10.61139/ijdor.1464143.
EndNote Edebal TH, Üner DD (August 1, 2024) Removal of Two Canal Instruments from the Mesiobuccal Canal of a Mandibular Molar Tooth: A Case Report. HRU International Journal of Dentistry and Oral Research 4 2 59–62.
IEEE T. H. Edebal and D. D. Üner, “Removal of Two Canal Instruments from the Mesiobuccal Canal of a Mandibular Molar Tooth: A Case Report”, HRU Int J Dent Oral Res, vol. 4, no. 2, pp. 59–62, 2024, doi: 10.61139/ijdor.1464143.
ISNAD Edebal, Tolga Han - Üner, Devrim Deniz. “Removal of Two Canal Instruments from the Mesiobuccal Canal of a Mandibular Molar Tooth: A Case Report”. HRU International Journal of Dentistry and Oral Research 4/2 (August 2024), 59-62. https://doi.org/10.61139/ijdor.1464143.
JAMA Edebal TH, Üner DD. Removal of Two Canal Instruments from the Mesiobuccal Canal of a Mandibular Molar Tooth: A Case Report. HRU Int J Dent Oral Res. 2024;4:59–62.
MLA Edebal, Tolga Han and Devrim Deniz Üner. “Removal of Two Canal Instruments from the Mesiobuccal Canal of a Mandibular Molar Tooth: A Case Report”. HRU International Journal of Dentistry and Oral Research, vol. 4, no. 2, 2024, pp. 59-62, doi:10.61139/ijdor.1464143.
Vancouver Edebal TH, Üner DD. Removal of Two Canal Instruments from the Mesiobuccal Canal of a Mandibular Molar Tooth: A Case Report. HRU Int J Dent Oral Res. 2024;4(2):59-62.